Diana Bitner
Obstetrics & Gynecology · Grand Rapids, MINPI 1457308488
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (50.5%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Therapeuticsmd, Inc. at 55.5% of the total. Reporting peaked in 2019 at $29,653 and has fallen 67.6% since, to $9,614 in 2025. Among obstetrics & gynecology clinicians in MI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 119 payments — averaging $483.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Therapeuticsmd, Inc.$32K
- Bayer$23K
- Astellas Pharma US Inc$716
- Lupin Inc.$600
- Cosette Pharmaceuticals Inc.$193
- Novo Nordisk$191
- plus $736 from 12 others
What the payments were for
- Consulting fees$20,23635%
- Speaking & faculty fees$29,09951%
- Travel & lodging$4,5888%
- Food & beverage$3,3716%
- Education$2830%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Therapeuticsmd, Inc. | 53 | $31,948 |
| Bayer | 13 | $23,194 |
| Astellas Pharma US Inc | 10 | $716 |
| Lupin Inc. | 1 | $600 |
| Cosette Pharmaceuticals Inc. | 2 | $193 |
| Novo Nordisk | 13 | $191 |
| Echosens North America, Inc. | 1 | $185 |
| Pfizer | 5 | $112 |
| AbbVie | 3 | $102 |
| Mayne Pharma Commercial LLC | 6 | $71 |
| Lilly USA, LLC | 3 | $57 |
| AMAG Pharmaceuticals, Inc. | 1 | $51 |
| Hologic Sales And Service, LLC | 2 | $45 |
| Tactile Systems Technology Inc | 2 | $35 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $24 |
| Biohaven Pharmaceuticals, Inc. | 1 | $20 |
| Abbott | 1 | $20 |
| Vivus LLC | 1 | $14 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$57,577 in reported general payments places this provider in the 95th percentile of 1,474 obstetrics & gynecology providers in Michigan.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| ImvexxyEstradiol | 18 | $8,391 |
| Estradiol (Twice Weekly)Estradiol | 51 | $4,184 |
| DottiEstradiol | 13 | $2,199 |
| Estradiol | 27 | $2,127 |
| ProgesteroneProgesterone, Micronized | 21 | $1,191 |
| Clobetasol Propionate | 15 | $274 |
| Escitalopram Oxalate | 14 | $70 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Therapeuticsmd, Inc.Imvexxy | $31,948 | $8,39118 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 1,474 obstetrics & gynecology providers in Michigan.
Other obstetrics & gynecology in Grand Rapids
- Gregory GresselGrand Rapids$85K
- Robyn HubbardGrand Rapids$73K
- Stephen DalmGrand Rapids$48K
- Vivian Romero RomeroGrand Rapids$19K
- David EisensteinDetroit$272K
- Peter TsengPort Huron$178K
- Robert ValiceChesterfield$175K
- Brent DavidsonDetroit$171K
- Michael EngelLake Orion$165K
- Ethan GoldsteinBloomfield Hills$140K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.